Tim Patrick O'Connor, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

11604 Issued in OK

Practice address

1113 E Hartford Ave
Ponca City, OK 74601-2016

Phone

(580) 765-3055

Fax

(580) 765-3410

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Angels of Mercy Home Health Care, Inc.

  • Home Health Agency
  • Ponca City, OK
  • NPI 1619973435
  NPD (past)
• Bintz Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Ponca City, OK
  • NPI 1841255379
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1548375256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 LAKE RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746045110",
            "telephone_number": "580-762-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E HARTFORD AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012016",
            "telephone_number": "580-765-3055",
            "fax_number": "580-765-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "TIM",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "11604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3707215",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Central Oklahoma
• North Central Palliative Care, LLC
• Jeff E Northcutt, M.D.
• Northern Oklahoma Regional Pediatric Clinic, PLLC
• Northern Oklahoma Youth Services
• Lorraine Agnes O'Neill, MS
• Paula Oast, COTA
• Amy M Oatman, LPC
• Mark A Oatman, MD
• Ernesto Joel Ochoa

• All providers in Ponca City, OK
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.